Provider Demographics
NPI:1194963470
Name:FISHER, DONNA PITCHER (AUDIOLOGIST CCC-A)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:PITCHER
Last Name:FISHER
Suffix:
Gender:F
Credentials:AUDIOLOGIST CCC-A
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:M
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4545 E. 9TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220
Mailing Address - Country:US
Mailing Address - Phone:303-320-5516
Mailing Address - Fax:303-388-7060
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3901
Practice Address - Country:US
Practice Address - Phone:303-320-5516
Practice Address - Fax:303-388-7060
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO546237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO546OtherSTATE OF COLORADO LICENSE